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JUNIOR FORMUKONG MBIPEH, COTA/L

Active

JUNIOR FORMUKONG MBIPEH, COTA/L is a Occupational Therapy Assistant healthcare provider located in NEWTOWN SQUARE, Pennsylvania. NPI 1144975178 is currently active in the NPPES registry. Verify at CMS.

Occupational Therapy Assistant · NEWTOWN SQUARE, PA

Registration Details

NPI Number
1144975178
Provider Type
Individual
Gender
Male
NPI Issued
Feb 17, 2022 (4.5016439305166 yrs)
Last Updated
Apr 30, 2024
License
18734 (FL)

Practice Information

Address
3500 W CHESTER PIKE
NEWTOWN SQUARE, PA, 190734101
Browse PA providers · Browse ZIP 19073
Phone
6103594400
Primary Specialty
Occupational Therapy Assistant
224Z00000X

Other Occupational Therapy Assistant Providers in NEWTOWN SQUARE, PA

Name Credential NPI
MS. LORRAINE MARIE MOORE COTA/L 1437481066
ANNE KOZICKI COTA/L 1639531635
CYDNEY PANICHI COTA/L 1902315518
HEATHER MARIE RAGO COTA/L 1073354957
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.